影像导航下鼻内窥镜眼眶手术影像漂移的分析  

Analysis of image-drifting in intraoperative image-guidance in endoscopic nasocular operation

作　　者：郭疆[1,2] 卢永田[1,3] 窦晓燕[1,2] 司马晶[1,2] 

机构地区：[1]中国广东省深圳市第二人民医院 [2]深圳大学附属医院眼科,518035 [3]深圳大学附属医院耳鼻喉科,518035

出　　处：《国际眼科杂志》2011年第8期1432-1433,共2页International Eye Science

基　　金：中国深圳市科技计划资助项目(No.200802052)~~

摘　　要：目的:总结影像导航下鼻内窥镜眼眶手术的经验,分析产生影像漂移的原因,提出避免及解决此问题的方法。方法:回顾研究影像导航下鼻内窥镜眼眶手术的病例,按一定的导航操作规范进行术前计划及术中导航,记录、分析并解决所发生的影像漂移现象。结果:在2008-08/2010-12我们共完成影像导航下鼻内窥镜眼眶手术13例,发生影像漂移4例,发生率为31%。其中2例为标记点影像漂移,2例为术中组织改变性影像漂移。标记点影像漂移全部得到纠正,术中组织改变性影像漂移未能得到纠正,但手术亦顺利完成。结论:对于标记点影像漂移,可通过严格导航及手术操作,选择最佳注册点来避免,并可通过体表标志的增加注册加以纠正;对于组织改变性影像漂移,主要通过术中细致操作以预防其发生。AIM： To analyse the cause of image-drifting and to resolve it during image-guidance endoscopic nasocular operation. METHODS： The pre-operative plan and intra-operative navigation were rigorously processed according to the criteria of endoscopic nasocular operation. The occurrence of image-drifting was recorded,analyzed and resolved. RESULTS： The image-guidance system in endoscopic nasocular operation was used in 13 cases from August 2008 to December 2010,and image-drifting happened in 4 cases （31%） Among them, 2 cases were systemic image-drifting, 2 cases were structural image-drifting. Systemic image-drifting were resolved, while structural image-drifting were not resolved. But the operation was completed smoothly. CONCLUSION： The systemic image-drifting can be prevented through rigorous neuronavigative procedure, and it could be resolved by selecting a better landmark and adding more landmarks. The best way to prevent structural image-drifting is careful operation.

关 键 词：影像漂移 影像导航 眼眶手术 

分 类 号：R779.6[医药卫生—眼科]